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NATHANIEL STULTZ CNP
NPI 1366971103
Nurse Practitioner - Family in Mount Vernon, OH

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050(740) 393-9714 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2022, Sep 5, 2022, Jul 8, 2022 and 1 more (4 updates tracked since 2017).

About Nathaniel Stultz Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHANIEL STULTZ CNP (NPI 1366971103) is an individual family provider in Mount Vernon, Ohio, licensed in Ohio (020957) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Knox Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366971103
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNATHANIEL STULTZCredential: CNP
Location Address1330 COSHOCTON AVEMount Vernon, OH 43050-1495
Mailing Address129 Old Bay DrPataskala, OH 43062-7690 · (614) 359-8706
Phone(740) 393-9714
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 6, 2017
Last NPPES UpdateNovember 16, 20224 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
✔ NPI 1366971103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OH · 020957✔ Licensed in IN · 71012737A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71012737A (IN)
1330 COSHOCTON AVE, Mount Vernon, OH 43050
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1129 Old Bay DrPataskala, OH 43062-7690 · Phone (614) 359-8706
Location 2500 S Cleveland AveWesterville, OH 43081-8971 · Phone (380) 898-4400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., Oscar Health, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathaniel Stultz Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173893476
PECOS Enrollment IDI20170719002451
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Nathaniel Stultz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Knox Emergency Services, LLC
0.3 mi
Emergency Medicine
1558 COSHOCTON AVE
Mount Vernon, OH 43050
  • Reassigned Medicare billing, Ohio enrollment
  • 43 clinicians in this Medicare group
NPI 1861450066 (740) 393-9000
Cep America - Ohio LLC
33 mi
Emergency Medicine
500 S CLEVELAND AVE
Westerville, OH 43081
  • Reassigned Medicare billing, Ohio enrollment
  • 45 clinicians in this Medicare group
NPI 1477086346 (614) 898-4000
Ohio Valley Physicians Inc
137 mi
Family Medicine
601 20TH ST
Huntington, WV 25703
  • Reassigned Medicare billing, Ohio enrollment
  • 176 clinicians in this Medicare group
NPI 1962433177 (304) 781-0076

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
228 services207 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
119 services115 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Knox Community Hospital

Acute Care Hospitals · Mount Vernon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360040
Location1330 Coshocton RoadMount Vernon, OH 43050 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACHARY MARK GATTON M.D.
Anesthesiology
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-6585
KNOX COMMUNITY HOSPITAL
Clinic/Center
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-5537
KNOX COMMUNITY HOSPITAL
Clinic/Center (Urgent Care)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-9000
MATTHEW RAHRIG MD
Anesthesiology (Pain Medicine)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-9866
ALI SALIM MD
Internal Medicine
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-9000
DR. TISHA GAYETTE DELLOS DO
Pathology (Anatomic Pathology & Clinical Pathology)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-9770
KORI L KIRKHOPE APRN
Nurse Practitioner
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-9000
GILFORD S VINCENT SR.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathaniel Stultz's NPI number?

The NPI number for Nathaniel Stultz is 1366971103. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Nathaniel Stultz located?

Nathaniel Stultz practices at 1330 Coshocton Ave, Mount Vernon, OH 43050. The listed phone number is (740) 393-9714.

What is Nathaniel Stultz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nathaniel Stultz enrolled in Medicare?

Yes. Nathaniel Stultz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nathaniel Stultz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Stultz reassigns Medicare benefits to 3 organizations: Knox Emergency Services, LLC (Mount Vernon, OH), Cep America - Ohio LLC (Westerville, OH) and Ohio Valley Physicians Inc (Huntington, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathaniel Stultz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathaniel Stultz accept?

Health plans from Antidote Health Plan of Ohio, Inc., Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Nathaniel Stultz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nathaniel Stultz affiliated with any hospitals?

According to CMS data, Nathaniel Stultz is affiliated with Knox Community Hospital.

When was this NPI record last updated?

The NPPES record for Nathaniel Stultz was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.